NUR631B EXAM 3 –
NEURO,MUSCULOSKELETAL,MENTAL HEALTH
EXAM
Save
Terms in this set (71)
,A 19-year-old college student, D) Schizophrenia
Todd, is brought to your clinic by
his mother. She is concerned that
there is something seriously wrong
with him. She states for the past 6
months his behavior has become
peculiar and he has flunked out of
college. Todd denies any recent
illness or injuries. His past medical
history is remarkable only for a
broken foot. His parents are both
healthy. He has a paternal uncle
who had similar symptoms in
college. The patient admits to
smoking cigarettes and drinking
alcohol. He also admits to
marijuana use but none in the last
week. He denies using any other
substances. He denies any feelings
of depression or anxiety. While
speaking with Todd and his mother
you do a complete physical
examination, which is essentially
normal. When you question him on
how he is feeling, he says that he is
very worried that Microsoft has
stolen his software for creating a
better browser. He tells you he has
se
,A 24-year-old secretary comes to C) Post-traumatic stress disorder
your clinic, complaining of difficulty
sleeping, severe nightmares, and
irritability. She states it all began 6
months ago when she went to a fast
food restaurant at midnight. While
she was waiting in her car a man
entered through the passenger
door and put a gun to her head. He
had her drive to a remote area,
where he took her money and
threatened to kill her. When the gun
jammed he panicked and ran off.
Ever since this occurred the patient
has been having these symptoms.
She states she jumps at every noise
and refuses to drive at night. She
states her anxiety has had such a
marked influence on her job
performance she is afraid she will
be fired. She denies any recent
illnesses or injuries. Her past
medical history is unremarkable. On
examination you find a nervous
woman appearing her stated age.
Her physical examination is
unremarkable. You recommend
medication and counseling.
What
, A 75-year-old homemaker brings A) Wernicke's aphasia
her 76-year-old husband to your
clinic. She states that 4 months ago
he had a stroke and ever since she
has been frustrated with his
problems with communication. They
were at a restaurant after church
one Sunday when he suddenly
became quiet. When she realized
something was wrong he was taken
to the hospital by EMS. He spent 2
weeks in the hospital with right-
sided weakness and difficulty
speaking. After hospitalization he
was in a rehab center, where he
regained the ability to walk and
most of the use of his right hand.
He also began to speak more, but
she says that much of the time "he
doesn't make any sense." She gives
an example that when she
reminded him the car needed to be
serviced he told her "I will change
the Kool-Aid out of the sink myself
with the ludrip." She says that these
sayings are becoming frustrating.
She wants you to tell her what is
wrong and what you can do about
NEURO,MUSCULOSKELETAL,MENTAL HEALTH
EXAM
Save
Terms in this set (71)
,A 19-year-old college student, D) Schizophrenia
Todd, is brought to your clinic by
his mother. She is concerned that
there is something seriously wrong
with him. She states for the past 6
months his behavior has become
peculiar and he has flunked out of
college. Todd denies any recent
illness or injuries. His past medical
history is remarkable only for a
broken foot. His parents are both
healthy. He has a paternal uncle
who had similar symptoms in
college. The patient admits to
smoking cigarettes and drinking
alcohol. He also admits to
marijuana use but none in the last
week. He denies using any other
substances. He denies any feelings
of depression or anxiety. While
speaking with Todd and his mother
you do a complete physical
examination, which is essentially
normal. When you question him on
how he is feeling, he says that he is
very worried that Microsoft has
stolen his software for creating a
better browser. He tells you he has
se
,A 24-year-old secretary comes to C) Post-traumatic stress disorder
your clinic, complaining of difficulty
sleeping, severe nightmares, and
irritability. She states it all began 6
months ago when she went to a fast
food restaurant at midnight. While
she was waiting in her car a man
entered through the passenger
door and put a gun to her head. He
had her drive to a remote area,
where he took her money and
threatened to kill her. When the gun
jammed he panicked and ran off.
Ever since this occurred the patient
has been having these symptoms.
She states she jumps at every noise
and refuses to drive at night. She
states her anxiety has had such a
marked influence on her job
performance she is afraid she will
be fired. She denies any recent
illnesses or injuries. Her past
medical history is unremarkable. On
examination you find a nervous
woman appearing her stated age.
Her physical examination is
unremarkable. You recommend
medication and counseling.
What
, A 75-year-old homemaker brings A) Wernicke's aphasia
her 76-year-old husband to your
clinic. She states that 4 months ago
he had a stroke and ever since she
has been frustrated with his
problems with communication. They
were at a restaurant after church
one Sunday when he suddenly
became quiet. When she realized
something was wrong he was taken
to the hospital by EMS. He spent 2
weeks in the hospital with right-
sided weakness and difficulty
speaking. After hospitalization he
was in a rehab center, where he
regained the ability to walk and
most of the use of his right hand.
He also began to speak more, but
she says that much of the time "he
doesn't make any sense." She gives
an example that when she
reminded him the car needed to be
serviced he told her "I will change
the Kool-Aid out of the sink myself
with the ludrip." She says that these
sayings are becoming frustrating.
She wants you to tell her what is
wrong and what you can do about
